Ɣeaɖewoɣi la, míedea dzesi tɔtrɔ suesuesuewo le míaƒe ŋutilã me. Le kpɔɖeŋu me, ne èle ahuhɔ̃e me kpɔm alo le wò aɖuwo tutum la, ɖe nède dzesii kpɔ be vuvu sue aɖe le wò aɖu ƒe akpa aɖe, vevietɔ le megbea? Ate ŋu anye vevesese vi aɖe hã kpe ɖe eŋu. Ame geɖe meléa ŋku ɖe nu siawo tɔgbe ŋu boo o, wosusuna be "anyo ɖe edzi le eɖokui si." Gake egbea míele nu ƒom tso dɔdzẽ ƒomevi aɖe si ate ŋu adze egɔme tso dzesi siawo dzi, si mebɔ vie o, gake wòle vevie ŋutɔ be woanya nu tso eŋu. Emae nye Ameloblastoma.
Nuka tututue nye Ameloblastoma?
Kpuie ko la, Ameloblastoma nye dɔdzẽ si mebɔ o, si menye kansa o, si dona le aɖuƒu me. Edzɔna tso lãmenugbagbevi siwo wɔa ametakpɔnu si wotsɔ blaa míaƒe aɖuwo si woyɔna be enamel la me. Bu eŋu ale: enamel nye aɖua ƒe akpa si le ɣie eye wòsesẽ. Eyata, dɔdzẽ sia dzea egɔme tso lãmenugbagbevi siwo wɔe me.
Aɖuɖɔtoe sia ƒomevi dzena wu le aɖu ƒe akpa si, vevietɔ ƒo xlã míaƒe nunya aɖuwo alo aɖu siwo te ɖe wo ŋu wu. Togbɔ be nɔnɔme sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ame tsitsi siwo xɔ tso ƒe 30 va ɖo ƒe 60 dzi wu.
Nu vevitɔe nye be togbɔ be zi geɖe la, menye kansae dɔdzẽ sia nye o hã la, ne womedae nɛ ɣeyiɣi didi o , ate ŋu azu kansa eye wòakaka ɖe ʋukawo alo lãkusiwo me. Eyata ekpɔkpɔ kaba kple edada le vevie ŋutɔ.
Nukae nye esia ƒe dzesiwo? Aleke míewɔna dea dzesii?
Nusiwo ɖe dzesi le ameloblastoma ŋu dometɔ ɖekae nye be zi geɖe la , etsina blewu ŋutɔ . Ɣeaɖewoɣi la, ɖewohĩ maɖe tɔtrɔ ɖedzesi aɖeke afia o hena ɣleti alo ƒe geɖe. Esia tae ame geɖe toa eŋu ɖo. Na míakpɔ nusiwo nye dzesi vevi siwo woate ŋu akpɔ ɖa.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Aɖuɖɔtoe ƒe vuvu | Esiae nye dzesi si bɔ wu. Ðewohĩ aɖuɖɔtoea ƒe megbe vuvu si me vevesese aɖeke mele o. |
| Aɖu alo aɖu ƒe vevesese | Vevesese si nɔa anyi ɖaa le aɖuwo alo aɖuwo me ate ŋu adzɔ, ne wovuvu alo womavuvu o. |
| Dzesi aɖeke ƒe anyimanɔmanɔ | Ame aɖewo mekpɔa dzesi aɖeke o. Woke ɖe eŋu le vome ne woyi ɖawɔ aɖu ƒe X-ray le susu bubu aɖe ta. |
| Aɖuwo ƒe ʋuʋu alo ʋuʋu | Ne dɔdzẽa le tsitsim kabakaba la, aɖu siwo ƒo xlãe la tea ʋuʋu tso woƒe kewo dzi eye wova nɔa ʋuʋum alo trɔna. |
| Tɔtrɔ le mo ƒe dzedzeme ŋu | Ne dɔdzẽa le tsitsim la, mo ƒe nɔnɔme, vevietɔ aɖu ƒe akpa, ate ŋu atrɔ. |
| Dzesi siwo mebɔ o gake wosẽa ŋu | Ƒã ŋutɔ hafi dɔdzẽa ate ŋu akaka ɖe ŋɔti, ŋkume, alo tagbɔ. Azɔ hã, ne dɔdzẽa lolo ŋutɔ la, ate ŋu ana yaƒoƒomɔ̃a naxe, nu me ʋuʋu kple nu tutu sesẽ, alo nuɖuɖu nasesẽ. |
Nukae hea ameloblastoma vɛ?
Le nyateƒe me la, ɖɔktawo mekpɔ nya aɖeke si gbɔ esia tso keŋkeŋ haɖe o. Ema fia be womate ŋu agblɔe kple kakaɖedzi be "esiae nye nusi hea esia vɛ o." Gake afɔku geɖe li siwo wosusu be woawoe nana dɔlélea dzɔna:
- Ŋutsuwo ƒe bɔbɔ: Nɔnɔme sia bɔ ɖe ŋutsuwo me wu nyɔnuwo.
- Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi: Numekukuwo ɖee fia be domenyiŋusẽfianu aɖewo kpɔa gome le dɔdzẽ siawo wɔwɔ me.
- Nu me dɔlékuiwo alo abi: Nuveviwɔame le aɖu ƒe akpa si le nu me alo dɔlékui aɖe si le nu me ate ŋu ana afɔkua nadzi ɖe edzi.
- Nu bubuwo: Dzɔdzɔmeŋutinunyalawo xɔe se be dɔlékui ƒomevi aɖewo alo protein kple mineral ƒe anyimanɔmanɔ le nuɖuɖu me hã ate ŋu anɔ eme.
Aleke ɖɔkta awɔ ake ɖe esia ŋu?
Ne wò aɖuwo vuvu alo le veve sem la, nu gbãtɔ si wòle be nàwɔe nye be nàyi aɖudɔdala alo ɖɔkta gbɔ. Woawɔ ɖe afɔɖeɖe geɖe dzi atsɔ anya dɔlélea.
Zi geɖe la, aɖudɔdalawoe dea dzesi aɖuɖɔtoe siawo gbã. Le aɖu ƒe X-ray me la, aɖuɖɔtoea ate ŋu adze abe "adzalẽ ƒe kuɖɔ ƒe dzedzeme ene."
Tsɔ kpe ɖe eŋu la, wowɔa dodokpɔ bubu geɖe tsɔ ɖoa kpe dɔlélea dzi:
- MRI (Magnetic Resonance Imaging) scan: Esia zãa magnet sesẽwo kple radio ƒutsotsoewo tsɔ ɖea wò nu kple aɖu ƒe foto siwo me kɔ ŋutɔ, tsitotsito.
- CT (Computerized Tomography) Scan: Esia nye X-ray mɔ̃ɖaŋununya ɖeka ma ke, gake woɖea X-ray nɔnɔmetatawo tso dzogoe vovovowo dzi hetsɔa kɔmpiuta ƒoa wo nu ƒu tsɔ wɔa aɖu kple aɖuƒu ƒe nɔnɔmetata si le akpa etɔ̃ (3D).
Dodokpɔ vevitɔ kekeakee nye lãmenugbagbeviwo ƒe dɔwɔwɔ. Esia bia be woatsɔ aŋe alo lãgbalẽ sue aɖe aɖe lãmenugbagbevi sue aɖe ŋutɔ (lãmeka ƒe kpɔɖeŋu) tso dɔdzẽa me eye woatsɔ nusuekpɔmɔ̃ adoe kpɔ. Esiae nye nusi ɖo kpe edzi 100% nenye be Ameloblastoma ye, alesi wòle tsitsim kabakabae, kple nenye be kansa lãmenugbagbeviwo le eme alo mele eme o.
Nukawoe nye atike siwo wozãna na esia?
Esi wònye be atikewo alo keklẽŋusẽdɔdamɔnu mewɔa dɔ boo aɖeke na ameloblastoma dɔdzẽ siwo menye kansa o ta la, atikewɔwɔ vevitɔe nye be woaɖe dɔdzẽa ɖa keŋkeŋ to amekoko me .
Le afisia la, menye dɔdzẽa koe ɖɔktawo ɖena o, ke woɖea lãmenugbagbevi siwo le lãmesẽ me siwo ƒo xlãe ƒe akpa sue aɖe hã ɖa. Wowɔa esia be woaɖe mɔnukpɔkpɔ si li be dɔdzẽa nagatsi ake la ɖa keŋkeŋ.
Le alesi dɔdzẽa loloe kple afisi wòle nu la, ate ŋu ahiã be woaɖe aɖua ƒe akpa aɖe ɖa . Ema ate ŋu aɖi vɔvɔ̃. Gake ne edzɔ alea la, woate ŋu azã ƒu si woɖe tso wò ŋutilã ƒe akpa bubu (abe wò afɔ ene) alo ƒu si wowɔ (amekoko si woatsɔ agbugbɔ atu) atsɔ agbugbɔ aɖua atu. Ate ŋu ahiã hã be woaɖe ʋukawo kple lãmeka siwo do ƒome kple mo.
Le amekoko vɔ megbe la, ɖewohĩ ahiã be woagbugbɔ aɖɔ wò ɖo be nàgasrɔ̃ alesi nàko alɔgbɔnu ahaɖu nuɖuɖu ake. Le amekoko vɔ megbe la, wowɔa CT-dɔdamɔnu be woakpɔ egbɔ be woɖe dɔdzẽa ɖa keŋkeŋ. Le ema megbe la, ahiã be nàgawɔ fotoɖeɖe na wò ake edziedzi abe ƒe 5 ene be nàkpɔe ɖa be dɔdzẽa gadze ake hã.
Ne dɔdzẽa gadze ake la, anɔ eme be kansae wòanye. Ne ekaka ɖe ŋutilã ƒe akpa bubuwo la, woate ŋu akafu keklẽŋusẽdɔdamɔnu be woatsɔ akpɔ eƒe tsitsi dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Ameloblastoma nye dɔdzẽ ƒomevi aɖe si mebɔ o si dona le aɖu me. Zi geɖe la, edzea egɔme abe ʋuʋudedi si me vevesese aɖeke mele o ene. Ne ède dzesii be aɖu ƒe akpa aɖe vuvu la, mègaŋe aɖaba ƒu edzi o.
- Togbɔ be zi geɖe la, menye kansae dɔdzẽ sia ƒomevi nye o hã la, ate ŋu ava zu kansa ne womedae o. Eyata dɔlélea kpɔkpɔ kaba le vevie ŋutɔ.
- Ne nane si mesɔ o le wò aɖu ŋu, abe aɖuwo ƒe vuvu, vevesese, alo aɖu siwo me mekɔ o ene la, yi aɖudɔdala alo wò ƒomea ƒe ɖɔkta gbɔ enumake.
- Atikewɔwɔ vevitɔe nye amekoko, eye le atikewɔwɔ vɔ megbe gɔ̃ hã la, edziyiyi le vevie abe alesi atikewɔlawo ƒe aɖaŋuɖoɖo gblɔe ene.
- Mègavɔ̃ be yeaxlẽ nyatakaka sia o. Taɖodzinu si le esia ŋue nye be wòafia nu wò. Ne ɖikeke aɖe le mewò le nane ŋu la, wò ɖɔkta ana mɔfiame nyuitɔ kekeake wò.
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